Tia Kern-Butler, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6186 Issued in FL

Practice address

2901 1St Ave N Ste 201
Saint Petersburg, FL 33713-8640

Phone

(727) 417-2812

Fax

(727) 499-6882

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Psychology of Pinellas PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Petersburg, FL
  • NPI 1134691645
  Medicare reassignment NPD Authorized official
• Neurocognitive Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, FL
  • NPI 1518625581
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1184637779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 1ST AVE N STE 201",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138640",
            "telephone_number": "727-417-2812",
            "fax_number": "727-499-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 1ST AVE N STE 201",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138640",
            "telephone_number": "727-417-2812",
            "fax_number": "727-499-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN-BUTLER",
        "first_name": "TIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY6186",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CW378A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070618300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasie Kephart, MS, NBC-HWC
• Nathaniel Tyler Kephart, DPT
• Molly Kepka, SLP
• Joyce A Kepto, ARNP
• Chelsi Kerby
• John E Kern, DO
• Jody Z Kerr, MD
• Constance Jean Kershner, DPT
• Ashleigh Kervel, PA-C
• Joan E. Kerwin, LMFT

• Clinical Psychologist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.